| NPI | 1629214200 |
|---|---|
| Former Legal Business Name | CORE HEALTH CARE, PLLC |
| Entity Type | Organization |
| Authorized Contact | TRUDY G HARVEY Practice Manager 304-879-5025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 12054) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 43007) |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2009-01-02 |